BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ROBERTSHAW TUBE

    MDR report key: 2992851 · Received January 18, 2013

    Report

    Report Number
    2992851
    Event Type
    Malfunction
    Date Received
    January 18, 2013
    Date of Event
    January 18, 2013
    Report Date
    January 18, 2013
    Manufacturer
    RUSCH, INC.
    Product Code
    BTR
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MA, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    28270 ROBERTSHAW TUBE TUBE, TRACHEAL BTR RUSCH, INC. * 12BE08

    Patients

    Seq Age Sex Outcome Treatment
    1 *